Letters to the Editor

PEDIATRICS ◽  
1995 ◽  
Vol 96 (2) ◽  
pp. 376-376
Author(s):  
James E. Shira

The Committee on Hospital Care (COHC) was indeed remiss in failing to include the hospital pharmacist in the list and description of essential unit personnel in its statement "Staffing Patterns for Patient Care and Support Personnel in a General Pediatric Unit."1 The omission was truly unintentional and unfortunate. We sincerely appreciate Dr Oddis' valuable comments and wholeheartedly concur with his message that pharmacists provide many essential services both to patients and the other members of the health care team on the pediatric unit.

PEDIATRICS ◽  
1995 ◽  
Vol 96 (2) ◽  
pp. 376-376
Author(s):  
Joseph A. Oddis

We noted with interest the report of the American Academy of Pediatrics' Committee on Hospital Care entitled "Staffing Patterns for Patient Care and Support Personnel in a General Pediatric Unit" that was published in Pediatrics.1 For the most part we found the document to be well-written and comprehensive, but we were surprised that it makes no mention of the role of pharmacists. We believe that pharmacists are integral to the care of patients in pediatric units.


PEDIATRICS ◽  
1994 ◽  
Vol 93 (5) ◽  
pp. 850-854 ◽  
Author(s):  

The mission of a pediatric inpatient unit, no matter how large or small, whether in a private or public hospital, is to provide optimum, age-appropriate care for each patient and to lend sensitive and understanding support to his or her family. The key to success in achieving this mission is the quality and commitment of the personnel on the unit. If the skills and the dedication are present and there is flexibility in staffing assignments, the desired patient care outcomes will be inevitable.


2012 ◽  
Vol 136 (6) ◽  
pp. 668-678 ◽  
Author(s):  
Rajesh C. Dash ◽  
James A. Robb ◽  
David L. Booker ◽  
Wen-Chi Foo ◽  
David L. Witte ◽  
...  

Pathologists have long served as custodians of human biospecimens collected for diagnostic purposes. Rapid advancements in diagnostic technologies require that pathologists change their practices to optimize patient care. The proper handling of biospecimens creates opportunities for pathologists to improve their diagnoses while assessing prognosis and treatment. In addition, the growing need for high-quality biorepositories represents an opportunity for community pathologists to strengthen their role within the health care team, ensuring that clinical care is not compromised while facilitating research. This article provides a resource to community pathologists learning how to create high-quality biorepositories and participating in emerging opportunities in the biorepository field. While a variety of topics are covered to provide breadth of information, the intent is to facilitate a level of understanding that permits community pathologists to make more informed choices in identifying how best their skills and practice may be augmented to address developments in this field.


2016 ◽  
Vol 12 (7) ◽  
pp. 676-684 ◽  
Author(s):  
Natalie Cook ◽  
Manjula Maganti ◽  
Aditi Dobriyal ◽  
Michal Sheinis ◽  
Alice C. Wei ◽  
...  

Purpose: Little is known about how electronic mail (e-mail) is currently used in oncology practice to facilitate patient care. The objective of our study was to understand the current e-mail practices and preferences of patients and physicians in a large comprehensive cancer center. Methods: Separate cross-sectional surveys were administered to patients and physicians (staff physicians and clinical fellows) at the Princess Margaret Cancer Centre. Logistic regression was used to identify factors associated with current e-mail use. Record review was performed to assess the impact of e-mail communication on care. Results: The survey was completed by 833 patients. E-mail contact with a member of the health care team was reported by 41% of respondents. The team members contacted included administrative assistants (52%), nurses (45%), specialist physicians (36%), and family physicians (18%). Patient factors associated with a higher likelihood of e-mail contact with the health care team included younger age, higher education, higher income, enrollment in a clinical trial, and receipt of multiple treatments. Eighty percent of physicians (n = 63 of 79) reported previous contact with a patient via e-mail. Physician factors associated with a greater likelihood of e-mail contact with patients included older age, more senior clinical position, and higher patient volume. Nine hundred sixty-two patient records were reviewed, with e-mail correspondence documented in only 9% of cases. Conclusion: E-mail is commonly used for patient care but is poorly documented. The use of e-mail in this setting can be developed with appropriate guidance; however, there may be concerns about widening the gap between certain groups of patients.


1990 ◽  
Vol 3 (1) ◽  
pp. 19-27
Author(s):  
Roger Klotz

This article will describe the many opportunities for progressive pharmacy practice in the homecare area, particularly when dealing with parenteral therapies. Progressive pharmacy practice in the home requires that the technical and clinical pharmacy expertise first developed in the institutional setting be applied in a decentralized environment. The decentralization of high-tech care into the patient's home presents major challenges and opportunities to all health care professionals. The pharmacist, in particular, is given the opportunity to provide progressive pharmacy services, especially clinical services, as a result of patient need and agency requirements (ie, JCAHO, State Pharmacy Board, HCFA). This group of patients has generally a higher acuity than traditional ambulatory and homecare patients; thus, health care professionals, reimbursement organizations, and regulatory and accrediting agencies are very concerned about the coordination of patient care. The pharmacist's knowledge base and interest in drug therapy is well suited for and used to benefit the patient and health-care team; this is important in many areas of patient care. A knowledge of drug therapies is required in predischarge planning, patient training, plan of care development, and patient monitoring. Therefore, the hospital and/or homecare pharmacist can be involved from the start (patient selection) to the completion of therapy for the homecare patient. Since homecare patients have an increasing acuity, the traditional hospital pharmacy services need to be provided and expanded upon so that safe and efficacious therapy is provided.


2005 ◽  
Vol 33 (4) ◽  
pp. 851-856 ◽  
Author(s):  
Lance Lightfoot

One of the most challenging and rewarding roles for in-house hospital attorneys is serving as a member of their hospital’s Bioethics Committee (the “Committee”). As a member of the Committee, an attorney assists in developing institutional ethics policies and guidelines, and also participates in ethics consultations involving disputes about patient care. Institutions such as the Author’s employer, Texas Children’s Hospital, promote open and honest communications between members of a patient’s health care team and the patient’s parents and family; however, when communications break down, the Committee’s goal is to provide an objective forum where disputes can be discussed and hopefully resolved in a professional, ethical manner.


Author(s):  
Masahiro Murakami ◽  
Satoko Katsuragi ◽  
Masako Ohno ◽  
Makoto Shigematsu ◽  
Ayumi Kishi ◽  
...  

ABSTRACTObjective: The objective of this study was to quantitatively evaluate anticancer drug exposure of non-health care professionals who administer drugsthrough a tube employing a method devised by us.Methods: The subjects were 30 general volunteers aged 22-84 years. They wore gloves and administered Indian ink, simulating an anticancer drug, toa multipurpose adult human-type patient care simulator through a tube using 5 types of syringe, and the area stained with Indian ink was measured.Results: When comparing the number of pixels among the syringes regardless of age, Syringe B showed the lowest number (11.8±3.1 cm2), and therewas a significant difference between Syringes B and E. Furthermore, we compared the total number of pixels in each age group regardless of the typeof syringe. In the 20-year-old group, it was the lowest (10.9±2.3 cm2) showing significant differences in comparison with the other groups. WhenSyringe B was used, the number of pixels was markedly lower than on adopting the other syringes.Conclusion: It was clarified that the level of exposure to anticancer drugs markedly varies depending on the type of syringe and age. It was alsoclarified that the method to evaluate exposure to anticancer drugs using Indian ink devised by us is simple and useful.Keywords: Oral anticancer drugs, Simple suspension method, Drug-administering persons’ exposure.


2021 ◽  
Vol 1 (1) ◽  
pp. 21-45
Author(s):  
Bahar Acay ◽  
Mustafa Inc

This study is intended to provide an exhaustive comparison of various non-local fractional operators when analyzing the mechanics of breathing performed by a ventilator. We present the solutions of the fractional respiratory mechanics model mainly for allowing the health care team to monitor patients' conditions in detail. The aim is to introduce the underlying model flexibly by making use of the advantages of the non-integer order operators with one, two, and three parameters. On the other hand, since we concern the usage of different types of fractional operators, most often having virtue in the application, it can be clearly observed the similarities and differences between these operators. Moreover, we observe the mobility of the solutions curves of the above-stated fractional model for different values of the parameters $\alpha$, $\rho$, and $\gamma$ with the help of many graphs.


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